title: Intractable hemolytic anemia after mitral valve repair: a report of three cases.
abstract: Although hemolytic anemia after mitral valve replacement (MVR) is well recognized, hemolytic anemia associated with mitral valve repair is an uncommon condition. Furthermore, persistent and severe hemolytic anemia despite of medical treatment subsequently requiring reoperation is extremely rare. We here report three cases of intractable hemolytic anemia after mitral valve repair leading to MVR. Collision of regurgitant jet into the annuloplasty ring was the speculated mechanism of hemolysis in all cases. After MVR, all of them experienced immediate resolution of the hemolytic anemia.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Jin Hee
authors.initials: JH
authors.lastname: Choi
authors.forename: Yong Hyun
authors.initials: YH
authors.lastname: Park
authors.forename: Kyung Won
authors.initials: KW
authors.lastname: Yun
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Lee
authors.forename: Jeong Su
authors.initials: JS
authors.lastname: Kim
authors.forename: Jun
authors.initials: J
authors.lastname: Kim
authors.forename: June Hong
authors.initials: JH
authors.lastname: Kim
authors.forename: Hyung-Gon
authors.initials: HG
authors.lastname: Je
authors.forename: Sang-Kwon
authors.initials: SK
authors.lastname: Lee
authors.forename: Kook Jin
authors.initials: KJ
authors.lastname: Chun
mesh_terms: D000328:Adult; D000368:Aged; D000743:Anemia, Hemolytic / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: echocardiography; hemolytic anemia; mitral regurgitation; mitral valve repair